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In-person therapy in Houston, online in Texas • In-network with BCBS, Aetna, Cigna, UHC, Oscar, Tricare, Curative • Therapy in English, Spanish, Portuguese, Farsi • Immediate Openings

'Therapy session room at Real Talk Clinical Psychology in Houston, TX

Adult Autism Evaluation

PhD-Level Adult Autism Evaluation in Houston, TX |
ASD Testing and Diagnosis

Many adults who seek an autism spectrum disorder evaluation have spent years in clinical care that addressed several symptoms without reaching their source. Having the correct diagnosis does not change that history, but it can change what comes next.


Our clinical team of doctoral-level licensed psychologists in Houston, Texas conducts adult autism testing and ASD evaluation in person, in English and Spanish.


We accept major insurance plans, including Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, Oscar, Curative, and Tricare. We verify your benefits before scheduling and provide a clear estimate of any out-of-pocket costs before your first appointment. 

Autism spectrum disorder presents differently across the lifespan, and adults, particularly those who were never identified in childhood, have often developed strategies that obscure what standard evaluations are designed to detect.


Our psychologists use a multi-method assessment approach that includes direct behavioral observation, structured clinical interviewing, and validated measures. We assess systematically for camouflaging and masking, which are common in adults, particularly women, people of color, and those who learned early to adapt to environments not built for them.


Evaluations are conducted exclusively with adults. We do not evaluate children or adolescents.

Adult Autism and Late Diagnosis

A significant number of adults diagnosed with autism spectrum disorder later in life were previously diagnosed with ADHD, anxiety, depression, or personality disorders. The presentations overlap, and without providers with specific training, the underlying picture can go unrecognized for years.


Late diagnosis of autism in adults is increasingly common and clinically meaningful. It may provide a coherent framework for what had previously been understood as personal deficits. When appropriate, it also opens access to accommodations, legal protections, and clinical care that were not available without documentation.


Autism in women and in people of color is particularly likely to go undiagnosed. The diagnostic criteria were developed primarily on white male children, and adults who do not fit that prototype have historically been missed. Our evaluations account for this explicitly.

PhD-Level Autism Testing in Adults

Adult ASD evaluation is a specialized clinical skill. The diagnostic picture in adults is frequently complicated by co-occurring conditions, decades of compensatory coping strategies, and prior misdiagnosis.


Doctoral-level training matters most when the evaluation is crucial for institutional or legal purposes, when prior testing has been inconclusive, when the presentation is complex, or when a person's history and compensatory behaviors warrant more rigorous clinical attention than a brief assessment can provide.


We work with adults across a wide range of presentations: professionals who have managed by overworking, adults with prior psychiatric diagnoses that never fully accounted for their experience, and people who have recognized a pattern in themselves and want a clinical assessment.

Kimberly Smoots, Ph.D.

Children, Teens, Adults • English, Spanish • Online, In Person • Trauma, anxiety, depression, autism.

Kristen Wheeler, Psy.D.

Adults • English • Online, In Person • Trauma, crisis, substance use. LGBTQ+, veterans, first responders.

A comprehensive evaluation conducted in person by a doctoral-level psychologist. Includes direct behavioral observation, a multi-method assessment battery, a detailed clinical interview, and a detailed, clinically rigorous report report.


We accept major insurance plans, and verify your insurance benefits and provide a clear estimate of your cost before your first appointment. For those without applicable insurance coverage, the self-pay fee is $1,500.


The assessment is suitable for personal clarity, academic accommodations, workplace disability documentation, formal disability determinations, legal and forensic proceedings, differential diagnosis, and any context requiring a formally documented, institutionally defensible perspective.

Frequently Asked Questions

Can adults be diagnosed with autism spectrum disorder?

Yes. There is no age limit for an autism spectrum disorder diagnosis. Many adults receive an ASD diagnosis for the first time in their thirties, forties, or later, often after years of clinical contact that addressed symptoms without identifying their source.


Does insurance cover adult autism testing in Houston?

Autism evaluations are not always covered by insurance, but we accept major plans, including Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, Oscar, Curative, and Tricare. We verify your benefits before any service begins, provide a clear cost estimate, and handle all claim submission on your behalf. If your plan requires documentation of medical necessity, we will complete a clinical interview first, which is billed to insurance, before proceeding with the full evaluation. 

The self-pay fee for those without applicable coverage is $1,500.


Do I need a referral for an autism evaluation?

No referral is required to contact us or begin the intake process. If you have a referral from a physician or other treating provider, it can support the process. If you do not, we will conduct a clinical interview first to establish medical necessity, which is what allows insurance to authorize and cover the evaluation.


Is autism testing available in Spanish?

Yes, our adult autism evaluation is available in Spanish and English.


Do you evaluate children or adolescents for autism?

No. Our autism evaluation services specialize in adults.

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